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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Recordkeeping Occupational Injuries and Illnesses (29 CFR Part 1904)
Agency IC Tracking Number:
1218-0176 (Volk NPRM)
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Mandatory
CFR Citation:
29 CFR 1904
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
OSHA 300
Log of Work Related Injuries and Illnesses
OSHA Form 300 .pdf
http://www.osha.gov/recordkeeping/RKforms.html
Yes
No
Fillable Printable
Form
OSHA Form 301
Injury and Illness Incident Report
OSHA Form 301.pdf
http://www.osha.gov/recordkeeping/RKforms.html
Yes
No
Fillable Printable
Form
OSHA 300A
Summary of Work-Related Injuries and Ilnesses
OSHA Form 300A.pdf
http://www.osha.gov/recordkeeping/RKforms.html
Yes
No
Fillable Printable
Instruction
osha300form1-1-04.pdf
http://www.osha.gov/recordkeeping/new-osha300form1-1-04.pdf
Yes
No
Printable Only
Form
OSHA-300A (Spreadsheet Version)
Summary of Work-Related Injuries and Illnesses
osha300form1-1-04.xls
http://www.osha.gov/recordkeeping/new-osha300form1-1-04.xls
Yes
No
Fillable Printable
Form and Instruction
OSHA 6-40.1
Serious Event Reporting Portal
Serious Event Reporting Portal (2).docx
http://www.osha.gov/report_online/index.html
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Workforce Management
Subfunction:
Worker Safety
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
1,594,040
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
0 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
2,822,327
0
0
-3,590,496
0
6,412,823
Annual IC Time Burden (Hours)
2,822,328
0
0
-219,847
0
3,042,175
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.